A Decade and a Half of Day Care Service for Persons with Psychiatric Disabilities: The RFS (I) Experience
DOI:
https://doi.org/10.61841/c5ss7w19Keywords:
Schizophrenia, psychiatric disability, rehabilitation,, day careAbstract
Background: Day care is a cost-effective service offering daytime care and support to persons with psychiatric and intellectual disabilities. It is effective in building users’ self-esteem and in improving their social functioning and community integration. It is also effective in reducing caregiver’s burden.
Objective: To appraise the services provided by the ‘Chetana’ Day Care Centre with Vocational training run by the Richmond Fellowship Society (India), Bangalore.
Materials and Methods: A retrospective approach was adopted. Individual case files of 228 users who were
formally admitted into the centre over last 15 years were reviewed to identify benefits to them due to attending the centre. Routine entries made by professional staff in the case record files, other periodical reports, staff assessment reports of users, and feedbacks from users and families were used to identify the benefits derived.
Conclusion: The users and their families reported widespread benefits that have accrued either directly or indirectly by being in the day care programme. Staff feedback about the programme performance was also identified. Important areas of learning and challenges were derived from the 15-year experience of offering day care rehabilitation services for persons with psychiatric and intellectual disabilities.
Downloads
References
Cassidy E, Hill S, O'Callaghan E. Efficacy of a psychoeducational intervention in improving relatives' knowledge about schizophrenia and reducing rehospitalisation. Eur J Psychiatry 2001;16:446-50.
Catty JS, Bunstead Z, Burns T, Comas A. Day centres for severe mental illness. Cochrane Database of Systematic Reviews 2007, Issue 1.
Ekdawi, M.K. The role of day units in rehabilitation. In Wing and Morris, Handbook of Psychiatric Rehabilitation, USA: Oxford University Press, 1981 pp. 95–8.
Gopinath PS, Rao K. Rehabilitation in psychiatry: an overview. Indian J of Psychiatry, 1994, 36(2), 49-60.
Hegde S, Rao SL, Raguram A, Gangadhar BN. Addition of home-based cognitive retraining to treatment as usual in first episode schizophrenia patients: A randomized controlled study. Indian J Psychiatry 2012;54:15-22.
Holloway F. Day Care and Community Support. (p. 161-185). In Lavender A and Holloway F (Ed.). Community Care in Practice: Services for the Continuing Care User. Chichester: John Wiley & Sons, 1988.
Leff J. Working with the families of schizophrenic patients. Br J Psychiatry 1994;164(Suppl, 23):71-6
Ponnuchamy L, Mathew BK, Mathew S, Udayakumar GS, Kalyanasundaram S, Ramaprasad D. Family support group in psychosocial rehabilitation. Indian J of Psychiatry. 2005; 47(3): 160–163.
Shihabuddeen I, Gopinath PS. Possible PSR interventions in a GHPU in India. Indian J Psychol Med 2003;26:11-4.
Shihabuddeen I, Mehar H. Day care centre attached general hospital psychiatry unit: The felt-need in India for comprehensive mental healthcare services. Indian J Psychol Med. 2008; 30:80-2.
Sophia CA, Kamlesh KS, Dharitri R & Kalyanasundaram S. Person’s view of life and quality of life enjoyment & satisfaction in a half way home. International Journal of Mental Health. 2012;40(4) 64-85.
Suresh Kumar P N. Impact of vocational rehabilitation on social functioning, cognitive functioning, and psychopathology in patients with chronic schizophrenia. Indian J of Psychiatry 2008;50:257-61.
Warner, R. Recovery from Schizophrenia: Psychiatry and Political Economy. London, England: Routledge & Kegan Paul, 1985.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
